Today, many people have the option of being sedated or having local anesthesia when undergoing dental treatment. Most people dislike visits to the dentist, and some offices now offer sedation along with routine prophylactic cleanings. Other dentists do not believe that sedation should be used unless it is the only option available and the procedure is absolutely necessary. Local anesthesia is “an anesthetic medication (which can be given as an injection, spray, or ointment) that has only a small specific numbing effect. area of ​​the body (for example, a foot, hand, or part of the skin)” (Jones). A person may be awake or sedated when receiving local anesthesia. It depends on the extent of what is needed during the surgical procedure. Local anesthesia has been used for over 120 years in the United States and “approximately 300 million anesthetic cartridges are used each year” (Mayo Clinic Staff, 2013). In 1884, William Halsted used a local injection of cocaine which was the first nerve block in medicine. Although cocaine is no longer used, some of Halsted's methods are still taught in dental schools around the world today. Procaine was then used in 1904 by Alfred Einhorn and was the most effective local anesthetic. Today, the brand name of the drug is Novocain. The most common local anesthetic today is lidocaine, developed by Nils Lofgren in 1948. Today, all local anesthetics currently in use are synthetic. Local anesthetics are classified into two different categories depending on their relationship. These two categories are amide bonds and ester bonds. Almost all injectable anesthetics are amides. “On December 11, 1844, Horace Wells had one of his own wisdom teeth extracted by a colleague while under the influence of nitrous oxide” (Cantlay, Willi...... middle from the article......If the child cries or does not stay in the chair, the first thought of dentists is to put him to sleep. This only begins their negative dental experience at a very young age. You have to work with them from a young age and show them that the dentist's office is not a terrible place. They have to take advantage of their experiences while they are young so that they are not apprehensive and go there. regularly when they are older be avoided at all costs if possible during a visit to the dentist. Local anesthesia seems to be the safest and simplest route when carrying out dental procedures requiring some sort of. he anesthetic agent If sedation must be used, conscious sedation will be the safest and quickest recovery procedure. General anesthesia should only be used when absolutely necessary and there are no contraindications..